Home Menu

Menu



advertisement
Reply
Thread Tools Display Modes
zoiecat
Grand Member
 
zoiecat's Avatar
 
Member Since Apr 2017
Location: USA
Posts: 923
7
410 hugs
given
PC PoohBah!
Default Jun 01, 2020 at 01:51 PM
  #1
My insurance told me today that they stopped covering video sessions as of 5/31. I called my T and he was not aware of it. He said he will call me tomorrow to let me know what will happen with sessions going forward. I really don't want to do sessions in person wearing a mask. I would rather do video.

Is anyone else in this situation?
zoiecat is offline   Reply With QuoteReply With Quote
 
Hugs from:
*Beth*, LonesomeTonight, Merope, pbutton, SlumberKitty

advertisement
ElectricManatee
Magnate
 
ElectricManatee's Avatar
 
Member Since May 2017
Location: Earth
Posts: 2,515
7
4,704 hugs
given
PC PoohBah!
Default Jun 01, 2020 at 04:03 PM
  #2
I'm sorry, that sounds like a pretty terrible move on the part of your insurance company with not nearly enough notice. My insurance is still covering teletherapy (as far as I know!) and has temporarily waived co-pays due to COVID-19.
ElectricManatee is offline   Reply With QuoteReply With Quote
 
Thanks for this!
*Beth*, LonesomeTonight
nottrustin
Grand Magnate
 
nottrustin's Avatar
 
Member Since Jan 2014
Location: n/a
Posts: 4,819
10
375 hugs
given
PC PoohBah!
Default Jun 01, 2020 at 04:10 PM
  #3
My insurance covered video sessions before Covid. That is a great point though. Something to mention at my work.

__________________

nottrustin is offline   Reply With QuoteReply With Quote
 
Thanks for this!
LonesomeTonight
daisydid
Member
 
daisydid's Avatar
 
Member Since Oct 2018
Location: the astral plane
Posts: 493
6
375 hugs
given
Default Jun 01, 2020 at 04:15 PM
  #4
Apparently my insurance will continue to cover video appointments through September. I’m sorry that your insurance hasn’t done the same.
daisydid is offline   Reply With QuoteReply With Quote
 
Thanks for this!
LonesomeTonight
LonesomeTonight
Always in This Twilight
 
LonesomeTonight's Avatar
 
Member Since Feb 2015
Location: US
Posts: 21,598 (SuperPoster!)
9
76.2k hugs
given
PC PoohBah!
Default Jun 01, 2020 at 04:32 PM
  #5
My T just bills my video sessions the way he bills a normal session, but I just get partial reimbursement from my insurance company because he's out of network. Would your T be willing to just bill you as a regular session maybe? If not, do you have any preexisting conditions that could put you at higher risk for Covid? If so, it seems like you could challenge your insurance company on that, saying it's not safe to go in person. Or, if your T isn't willing to do in-person sessions yet (I know mine isn't, for example), then you might be able to get an exception.
LonesomeTonight is offline   Reply With QuoteReply With Quote
*Beth*
catches the flowers
 
Member Since Jul 2019
Location: Downtown Vibes, California
Posts: 15,701 (SuperPoster!)
5
23.7k hugs
given
PC PoohBah!
Default Jun 01, 2020 at 04:45 PM
  #6
I'm so sorry! 5/31 - wow, that's no notice at all.


As far as I know my insurance will cover video sessions until Hell freezes over. I wish it didn't cover them. I hate video sessions and I would like an excuse (no insurance, sorry) to stop them

__________________




*Beth* is offline   Reply With QuoteReply With Quote
zoiecat
Grand Member
 
zoiecat's Avatar
 
Member Since Apr 2017
Location: USA
Posts: 923
7
410 hugs
given
PC PoohBah!
Default Jun 01, 2020 at 05:23 PM
  #7
Update: My T called this afternoon and my insurance had just extended telehealth until 7/31 so it looks like I am good to go for now.
zoiecat is offline   Reply With QuoteReply With Quote
 
Hugs from:
daisydid, LonesomeTonight
 
Thanks for this!
daisydid, LonesomeTonight, Polibeth
LonesomeTonight
Always in This Twilight
 
LonesomeTonight's Avatar
 
Member Since Feb 2015
Location: US
Posts: 21,598 (SuperPoster!)
9
76.2k hugs
given
PC PoohBah!
Default Jun 01, 2020 at 05:33 PM
  #8
Oh good--glad to hear that!
LonesomeTonight is offline   Reply With QuoteReply With Quote
Anonymous47147
Guest
 
Posts: n/a
Default Jun 02, 2020 at 12:17 AM
  #9
Thats really sad, I am sorry.
I do not use insurance.
  Reply With QuoteReply With Quote
susannahsays
Grand Magnate
 
susannahsays's Avatar
 
Member Since Jun 2018
Location: Somewhere
Posts: 3,355
6
1 hugs
given
PC PoohBah!
Default Jun 02, 2020 at 01:18 AM
  #10
As far as I know. If not, we're going to have a problem. Sorry this happened to you.

@LT that sounds kind of sketchy. I don't think it's the same billing code for remote sessions. However, I also don't think you'd be ethically wrong for deceiving your insurance company in this matter, although they would disagree and call it fraud. I wonder what mine is billing it as... I'll have to take a look at one of the recent EOBs.

__________________
Life is hard. Then you die. Then they throw dirt in your face.
-David Gerrold
susannahsays is offline   Reply With QuoteReply With Quote
zoiecat
Grand Member
 
zoiecat's Avatar
 
Member Since Apr 2017
Location: USA
Posts: 923
7
410 hugs
given
PC PoohBah!
Default Jun 02, 2020 at 08:41 AM
  #11
Yes, there is a different code and my T is a stickler about going by the book. I told him I don't care how he bills it as long as it is covered by insurance but I know he won't break the insurance rules.
zoiecat is offline   Reply With QuoteReply With Quote
Mountaindewed
Legendary Wise Elder
 
Mountaindewed's Avatar
 
Member Since Jun 2016
Location: Where the sidewalk ends
Posts: 38,687 (SuperPoster!)
8
9,715 hugs
given
PC PoohBah!
Default Jun 06, 2020 at 08:29 PM
  #12
I’ve never gotten a bill since the video sessions started in March. I mean, I technically owe this place hundreds of dollars. I wonder if they waived the fees or what. I can’t imagine they’d keep doing it indefinitely.

__________________
I'm Blue
Mountaindewed is online now   Reply With QuoteReply With Quote
LonesomeTonight
Always in This Twilight
 
LonesomeTonight's Avatar
 
Member Since Feb 2015
Location: US
Posts: 21,598 (SuperPoster!)
9
76.2k hugs
given
PC PoohBah!
Default Jun 06, 2020 at 08:42 PM
  #13
Quote:
Originally Posted by zoiecat View Post
Yes, there is a different code and my T is a stickler about going by the book. I told him I don't care how he bills it as long as it is covered by insurance but I know he won't break the insurance rules.

I asked mine about it the other day, and he's looking into it. He didn't seem to be aware that there was a separate code.
LonesomeTonight is offline   Reply With QuoteReply With Quote
nottrustin
Grand Magnate
 
nottrustin's Avatar
 
Member Since Jan 2014
Location: n/a
Posts: 4,819
10
375 hugs
given
PC PoohBah!
Default Jun 07, 2020 at 06:33 AM
  #14
Quote:
Originally Posted by Mountaindewed View Post
I’ve never gotten a bill since the video sessions started in March. I mean, I technically owe this place hundreds of dollars. I wonder if they waived the fees or what. I can’t imagine they’d keep doing it indefinitely.
What do you have for instance? I believe there are a couple that that are covering the copay during COVID?

__________________

nottrustin is offline   Reply With QuoteReply With Quote
Mountaindewed
Legendary Wise Elder
 
Mountaindewed's Avatar
 
Member Since Jun 2016
Location: Where the sidewalk ends
Posts: 38,687 (SuperPoster!)
8
9,715 hugs
given
PC PoohBah!
Default Jun 07, 2020 at 07:51 AM
  #15
Quote:
Originally Posted by nottrustin View Post
What do you have for instance? I believe there are a couple that that are covering the copay during COVID?
I have Medicare and united healthcare. But my therapist said the video sessions might become permanent.

__________________
I'm Blue
Mountaindewed is online now   Reply With QuoteReply With Quote
~Christina
Legendary Wise Elder
Community Liaison
 
~Christina's Avatar
 
Member Since Jul 2011
Location: Tennessee
Posts: 22,450 (SuperPoster!)
13
12.7k hugs
given
PC PoohBah!
Default Jun 08, 2020 at 12:16 AM
  #16
My co pay for Therapy session in person was like 19.89. I just got my Medicare EOB and its showing I only owe 11.14 or something odd for each session.

A friend lives in Kentucky and she also has Medicare and her T told her Medicare isnt requiring her to pay copays right now for video of phones sessions.

I need to call Medicare and find out if my state is the same.. I would love to not have to pay that twice a month.

__________________
Helping others gets me out of my own head ~
~Christina is offline   Reply With QuoteReply With Quote
shamon86
Member
 
Member Since May 2013
Posts: 258
11
1 hugs
given
Default Jun 08, 2020 at 09:05 PM
  #17
I work for a hospital as a certified medical coder so I'll tell you what I have found out. I will preface this by saying most of my job is coding for medical visits, not mental health. And I work and code for visits in the US.

Since the beginning of the whole COVID thing, insurance companies have been scrambling trying to figure out what they will accept and have only just now made up their minds on how hospitals and practices should bill and what they will cover. Some insurances are allowing us to bill as we normally do and attach modifiers to the codes to designate that the service was provided over the phone or via video. The amount charged to the insurance is the same as an in office visit.

Other insurances are asking us to use codes created specifically for telemedicine visits. The amounts that are charged to the insurance in this case is less than normal office visits.

If you pay a flat co pay, chances are you won't see a difference in what you pay. If you're working on a deductible or paying a co insurance then you may see a difference in what you used to pay vs what you pay now.

Hope this helps!
shamon86 is offline   Reply With QuoteReply With Quote
 
Thanks for this!
LonesomeTonight, SlumberKitty
Mountaindewed
Legendary Wise Elder
 
Mountaindewed's Avatar
 
Member Since Jun 2016
Location: Where the sidewalk ends
Posts: 38,687 (SuperPoster!)
8
9,715 hugs
given
PC PoohBah!
Default Jun 25, 2020 at 01:06 AM
  #18
I got a letter from my insurance company yesterday. They are waiving all copays from April until September 30th. I’m not sure why. But that’s probably why the insurance company wanted to talk to her last week.

__________________
I'm Blue
Mountaindewed is online now   Reply With QuoteReply With Quote
Raindropvampire
smiling musical soul
 
Raindropvampire's Avatar
 
Member Since Mar 2010
Location: Indy
Posts: 43,373 (SuperPoster!)
14
1,837 hugs
given
PC PoohBah!
Default Jun 25, 2020 at 01:37 AM
  #19
I have had two appointments with my Pdoc and three with my T all on the phone and no charges are pending with my insurance So I don't know if they don't consider them actual appointments or what. I haven't been able to do video sessions.

__________________
I think I need help 'cause I'm drowning in myself. It's sinking in, I can't pretend that I ain't been through hell. I think I need help---Papa Roach
Raindropvampire is offline   Reply With QuoteReply With Quote
LonesomeTonight
Always in This Twilight
 
LonesomeTonight's Avatar
 
Member Since Feb 2015
Location: US
Posts: 21,598 (SuperPoster!)
9
76.2k hugs
given
PC PoohBah!
Default Jun 25, 2020 at 05:24 AM
  #20
My T said he started adding the code about a month ago. We have to submit claims to insurance for partial reimbursement (he's out of network), and they tend to be a couple months behind in reviewing claims, so not sure yet.
LonesomeTonight is offline   Reply With QuoteReply With Quote
Reply
attentionThis is an old thread. You probably should not post your reply to it, as the original poster is unlikely to see it.




All times are GMT -5. The time now is 12:29 AM.
Powered by vBulletin® — Copyright © 2000 - 2024, Jelsoft Enterprises Ltd.



 

My Support Forums

My Support Forums is the online community that was originally begun as the Psych Central Forums in 2001. It now runs as an independent self-help support group community for mental health, personality, and psychological issues and is overseen by a group of dedicated, caring volunteers from around the world.

 

Helplines and Lifelines

The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

Always consult your doctor or mental health professional before trying anything you read here.